Individual provider Active NPI

Timothy Alejo

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1942743737
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3724 Issued in NV
Practice address
200 E Horizon Dr Ste a
Henderson, NV 89015-8031
Phone
(702) 568-8450
Fax
(702) 568-8451
NPI assigned
Nov 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3724 NV Primary

Addresses

Primary practice location

200 E Horizon Dr Ste a
Henderson, NV 89015-8031

Mailing address

200 E Horizon Dr Ste a
Henderson, NV 89015-8031
Phone (702) 568-8450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1942743737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HORIZON DR STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158031",
            "telephone_number": "702-568-8450",
            "fax_number": "702-568-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HORIZON DR STE A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890158031",
            "telephone_number": "702-568-8450",
            "fax_number": "702-568-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEJO",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.